Active NPI
Tuan Nguyen
- Physical Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60978142
- Practice address
- 3927 Rucker Ave
Everett, WA 98201 - Phone
- (425) 339-5419
- Fax
- (425) 339-4219
- NPI assigned
- Nov 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Physical Therapist | 225100000X | PT60978142 | WA | Primary |
Addresses
Primary practice location
3927 Rucker Ave
Everett, WA 98201
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 339-5419
Other practice location 1
13400 NE 20th St Ste 47
Bellevue, WA 98005-2026
Phone (206) 437-5412
Other practice location 2
13400 NE 20th St Ste 47
Bellevue, WA 98005-2026
Phone (206) 437-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 339-3930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60978142 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients |
Locations
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1801269485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-339-5419",
"fax_number": "425-339-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "425-339-5419",
"fax_number": "425-339-4219"
}
],
"practiceLocations": [
{
"address_1": "13400 NE 20th St Ste 47",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980052026",
"country_code": "US",
"telephone_number": "206-437-5412",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13400 NE 20th St Ste 47",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980052026",
"country_code": "US",
"telephone_number": "206-437-5412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60978142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.